Year 2012 Vol. 20 No 6

PRACTICAL CASES

D.A. IONKIN, K.V. SHISHIN, S.S. ANDREENKOV, A.B. SHURAKOVA, O.I. ZHAVORONKOVA, J.A. STEPANOVA

CONGENITAL CYST OF THE ACCESSORY SPLEEN WITH INTERNAL HEMORRHAGE AND RUPTURE THREAT

FSBE “A.V.Vishnevsky Institute of Surgery”, Moscow
The Russian Federation
Address for correspondence

The observation case of the complicated course of a cyst in the accessory spleen in 18-year old patient is presented in the article. The results and peculiarities of the preoperative clinical and instrumental examination are given. The technique of the performed laparoscopic removal of the accessory splenetic lobe is described.
The observation is interesting because of rarity of such affections and as a result difficulty in diagnostics. The application of modern diagnostics methods permitted to make diagnosis at the preoperative stage and to reveal the occurred hemorrhage and to prevent possible severe complication. Complicated course of the cyst of the accessory splenetic lobe determined the necessity of an adequate surgical treatment. Modern minimally invasive precise surgical technologies allow solving this problem rather quickly and simply, providing a good cosmetic effect.
There have been no presented observations in the literature up to present of cysts in the accessory splenetic lobe located in the organ port above the splenetic stem and pancreatic bottom with a complicated course.

Keywords: congenital cyst of the accessory spleen, complicated course, operative treatment, laparoscopic removal of the accessory spleens
p. 111 – 115 of the original issue
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Address for correspondence:
117997, Rossiyskaya Federatsiya, g. Moskva, ul. Bolshaya Serpuhovskaya, d. 27, FGBU «Institut hirurgii im. A.V. Vishnevskogo», otdeleniya khirurgicheskoy gepatologii i pankreatologii,
e-mail: ionkin@ixv.comcor.ru,
Ionkin Dmitriy Anatolevich
Information about the authors:
Ionkin D.A. Candidate of medical sciences, senior researcher of the surgical hepatology and pancreatology department of FSBE “A.V. Vishnevsky Institute of Surgery”
Shishin K.V. Doctor of medical sciences, senior researcher of the endoscopic surgery department of FSBE “A.V. Vishnevsky Institute of Surgery”
Andreenkov S.S. Post-graduate student of the surgical hepatology and pancreatology department of FSBE “A.V. Vishnevsky Institute of Surgery”
Shurakova A.B. Candidate of medical sciences, researcher of the radiology diagnostics department of FSBE “A.V. Vishnevsky Institute of Surgery”
Zhavoronkova O.I. Candidate of medical sciences, senior researcher of the radiology diagnostics department of FSBE “A.V. Vishnevsky Institute of Surgery”
Stepanova J.A. Doctor of medical sciences, senior researcher of the radiology diagnostics department of FSBE “A.V. Vishnevsky Institute of Surgery”.
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